Guitar Camp Registration Form

GUITAR CAMP REGISTRATION FORM

PRINT AND COMPLETE
(form cannot be submitted via internet; please print to complete)

TODAY’S DATE: ____________________

Indicate your camp selection(s) by circling one or more camps from the following table.

	CAMP ONE
	Dates: July 18 to July 22, 2011 Time: 1:30 pm to 2:45 pm Ages: 6 to 16 years old
	CAMP TWO
	Date: July 25 to July 29, 2011 Time: 1:30 pm to 2:45 pm Ages: 6 to 16 years old

TUITION: $110.00 per camp

STUDENT’S NAME: ______________________________________________ BIRTHDATE: ______________

PHONE: HOME: ______________________ CELL:_____________________ ALTERNATE: _________________

COMMENTS: ________________________________________________________________________________

____________________________________________________________________________________________

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PARENTS’ NAMES:____________________________________________________________________________

ADDRESS: ______________________________________________ CITY/ZIP: __________________________

E-MAIL ADDRESS: ___________________________________________________________________________

WORK PHONE: _______________________________ CELL PHONE: ________________________________

Return the completed Guitar Registration Form with the corresponding payment ($110.00 per camp). Classes will be limited to the first 10 students who register. To enroll, please call 972-304-8600 or send an e-mail to info@coppellconservatory. A minimum of 4 students will be required per camp. Any camp with less than 4 students will be canceled and payments will be refunded.

NOTE: Students who do not have a guitar may rent one for $10.00 from Coppell Conservatory, and use it for the duration of the camp.

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